Individual provider · Type 1 NPI
Brenton Waystout, FNP-BC
Family Nurse Practitioner · Fairbury, IL
NPI number
1255748745
Active
Practice location
115 E Walnut St
Fairbury, IL 61739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209011651 (IL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Fairbury
About NPI 1255748745
Brenton Waystout, FNP-BC's National Provider Identifier is 1255748745, issued on Jul 16, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairbury, IL. The record was last updated on May 17, 2018.